Health Insurance & Payment Plans

At Legacy, we believe health care is a right, not a privilege.

We believe that comprehensive health care is a human right. That’s why Legacy’s services and programs are open to all who need us, regardless of the ability to pay, without judgment or exception.

Legacy accepts most health insurance plans including HMO/PPOS, Medicare and the following CHIP and Medicaid  plans: Amerigroup, CHIP, Community Health Choice, Medicaid, Molina Health Care, Superior Health Care, Texas Children’s Health Plan and United Healthcare. Eligibility Specialists are available at all Legacy locations to discuss sliding scale fees and potential programs to help reduce the cost of services. You may make an appointment with one of our Eligibility specialists by calling (832) 548 5000 or asking a front desk staff member. You can learn about all of our payment and assistance options below.

If You Are Currently Uninsured, Legacy Can Help You Access Health Care

Accessing health care can be frustrating, confusing, and even intimidating. If you are currently uninsured, Legacy’s Eligibility specialists can help you navigate the health care landscape and help you find the right combination of grants, government assistance, and sliding fee scale to make your health care more affordable. Eligibility specialists are available to anyone who walks through our doors and are available at all of our clinic locations.

Sliding Fee Scale

Patients who do not qualify for assistance programs, can receive a medical visit for a lower rate based on income and family size. Sliding Fee Scale is determined through a meeting with a Legacy Eligibility specialist.

Meet with a Legacy Eligibility Specialist. It’s easy!

You may make an appointment with an Eligibility specialist by asking at the front desk of any our clinics or by calling (832) 548 5223. You will need to supply proof of your identity, income, and other information.

While our goal is to provide affordable care for all our patients, payment must be made at the time of service. Not having payment at the time of service may result in your appointment being rescheduled.

Health Insurance Plans Accepted

Legacy Community Health currently accepts the health insurance plans listed below. In order to better serve you, changes are made to this list over time. Please address any questions about your plan with a Legacy team member when making your appointment.

Please remember to show us your insurance card when you arrive for your appointment. If you do not let us know about your coverage, you will be charged for past visits. For patients with a plan that needs a primary care provider (PCP) to be listed, either Legacy or a Legacy provider must be your PCP with your plan.

Medicare

Legacy Geriatricians provide a wide variety of services, including new patient consultations, annual wellness exams, and linking patients and caregivers to resources and support. If you’re about to become – or – have recently become eligible for Medicare, we encourage you to schedule your Medicare Initial Preventive Physical Examination (IPPE) at Legacy Community Health.

You can learn more about the visit here – or call us today at (832) 548 5000 to schedule an appointment with one of our caring Providers.

Curious about what Medicare plans we accept? See our updated list of 2019 Medicare Advantage Plans.

(updated as of January 2023)

Medical

  • Medicare – HMO, PPO, POS
  • Commercial – HMO, POS PPO
  • Marketplace – PPOs

 

Behavioral Health

  • Medicare – HMO, PPO, POS

 

Dental

  • Commercial – DPO, DMO
  • Marketplace – PPO

 

Vision

  • Medicare – HMO, PPO, POS
  • Commercial – HMO, POS, PPO
  • Marketplace – PPO

Medical

  • Commercial

 

Behavioral Health

  • Commercial

 

Dental

  • Commercial

 

Vision

  • Commercial

Amerigroup Select and Amerigroup Select Plus are not accepted by Legacy.

Medical

  • Medicaid – Star, Star+, CHIP, and StarKids
  • Medicare – Medicare HMO

Behavioral Health

  • Medicaid – Star, Star+, CHIP, and Starkids

Dental

  • Medicaid

Vision

  • Medicaid

Dental

  • Commercial – DPO

Medical

  • Network PPO

 

Behavioral Health

  • Network PPO

 

Dental

  • Dental PPO

Dental

  • Medicare – Medicare Advantage DPO

 

Vision

  • Medicare – Medicare Advantage

Behavioral Health

  • Medicaid – STAR, CHIP, 3-Share

Medical

  • Medicare – Blue Advantage HMO, Medicare Advantage PPO
  • Commercial – Blue Choice PPO
  • Marketplace – Marketplace HMO

 

Behavioral Health

  • Medicare
  • Commercial – PPO

 

Dental

  • See Dental Network of America

Medical

  • Medicaid – HMO Star, Star Plus, CHIP, CHIP Perinate, and 3 Share
  • Marketplace

 

Behavioral Health

  • Medicaid – Beacon

 

Dental

  • Medicaid – Dentaquest

 

Vision

  • Medicaid – BlockVision

Medical

  • Medicare – CIGNA HealthSpring CAP
  • Commercial – PPO, POS, HMO (Renaissance IPA Provider only), Cigna Great West PPO
  • Marketplace

 

Behavioral Health

  • Medicare – CIGNA HealthSpring – HMO
  • Commercial – Cigna Behavioral Health of Texas Network, Cigna Great West PPO

 

Dental

  • Medicare – DentalDMO – CIGNA HealthspringMedicare Dental- Owned by First Continental Life (FCL), Cigna HealthSpring Care Plan MMP (Duals) – Managed by Dentaquest.
  • Commercial – DPPO

Behavioral Health

  • Commercial – PPO, HMO

Dental

  • Commercial – Network PPO

Medical

  • Medicare – Advantage, Medicare Advantra, HMO, PPO, POS
  • Commercial – HMO, POS, and PPO

 

Behavioral Health

  • Medicare – MHNet

Dental

  • Medicaid – Medicaid DHMO, CHIP
  • Comercial – Premier, PPO, Alpha Dental

Dental

  • Commercial – Preferred Choice PPO

Dental

  • Marketplace – Marketplace DPO

Dental

  • Medicaid – Medicaid, CHIP, Star, Star Plus
  • Marketplace

Dental

  • Commercial – Dental DPO

Dental

  • Commercial – Dental DPO

Dental

  • Commercial – Dental DPO

Medical

  • Medicare – Medicare PPO
  • Commercial – Commercial PPO

Medical

  • Commercial – Network PPO

Behavioral Health

  • Commercial – Network PPO

Dental

  • Commercial – Network PPO

Dental

  • Commercial – DHMO, DDPO
  • Marketplace – Dental DMO

Medical

  • Commercial – PPO, POS

Medical

  • Medicare – PPO
  • Commercial – PPO, HMO, POS, EPO, Traditional Indemnity Plan
  • Marketplace – HMO, EPO

 

Behavioral Health

  • Medicare – See Lifesynch

 

Dental

  • Commercial – DPO

 

Vision

  • Commercial – Humana

Medical

  • Commercial – Tricare

Medical

  • Commercial

 

Behavioral Health

  • Commercial

 

Dental

  • Commercial

 

Vision

  • Commercial

Dental

  • Medicaid – Star, Star Plus and CHIP
  • Medicare – Medicare Advantage

Behavioral Health

  • Commercial

Medicaid – Star, Star Plus and CHIP

Medical

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Behavioral Health

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Dental

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Vision – Medicaid STAR, STAR+, CHIP, CSHCN, HWP

Medical – Medicare Part B

 

Behavioral Health – Medicare Part B

 

Vision – Medicare Part B

Dental

  • Medicare – Medicare Advantage Dental
  • Commercial – DPO

Medical

  • Medicaid – Star, Star+, CHIP, CHIP Perinate
  • Medicare – Medicare Advantage HMO
  • Marketplace – Molina Marketplace

 

Behavioral Health

  • Medicaid – Star, Star+, CHIP, CHIP Perinate
  • Medicare – Medicare Advantage HMO
  • Marketplace – Molina Marketplace

 

Vision

  • See Opticare

Medical

  • Commercial – PPO

 

Behavioral Health

  • Commercial – See Galaxy

Behavioral Health

  • Medicaid – for UHC
  • Medicare – PPO for UHC

Dental

  • Commercial DMO

Dental

  • Commercial – DPO

Dental

  • Commercial – DPO

 

Vision

  • Commercial – PPO

Dental

  • Medicaid – Star, Star Plus, and CHIP
  • Medicare MHMO

 

Medical

  • Medicaid – STAR, STAR+, CHIP, CHIP Perinatal

 

Behavioral Health

  • Medicaid – STAR, STAR+, CHIP, CHIP Perinatal

 

Dental

  • Medicaid – See Dentaquest
  • Medicare – See Dentaquest

 

Vision

  • Commercial – HMO

Medical

  • Commercial – Humana Military

 

Behavioral Health

  • Commercial – Value Option Federal (VOFED)

 

Dental

  • Commercial – Humana Military

Medical

  • Medicaid – Medical – STAR, STAR+, CHIP
  • Medicare Advantage Plans
  • Commercial – Choice, Choice+, Options PPO
  • Marketplace – Bronze, Silver, Gold, Premium

Behavioral Health

  • Medicaid HMO – STAR, STAR+, CHIP
  • Medicare – See Magellan, See Compsych
  • Commercial – PPO

 

Dental

  • Medicaid – STAR, STAR+, CHIP
  • Commercial – DMO

Vision

  • Medicaid – Star, Star Plus and CHIP
  • Medicare – Medicare Advantage(Healthsprings Only)
  • Medical—Medicare HMO
  • Behavioral Health—Medicare HMO